LOGIQ P9 ™

Getting started guide.

Presentation Title February 20, 2019
Confidential. Not to be copied, distributed, or reproduced without prior approval. DOC2232025 1
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1 Power 10 Comment 19 Patient

2 Freeze 11 Clear 20 Scan

3 Print Key 12 Pointer 21 End Exam

4 B-mode 13 Trackball 22 Digital Keyboard

5 Mode /Function 14 Measure 23 Digital TGC

Controls

6 Depth/ Zoom 15 Trackball function/ 24 Research/ Clinical Mode

edit keys

7 Auto Optimize 16 Smart Keys 25 Probe Selection

8 Dual Screen 17 Toggle line 5 User define keys-Utility/

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Reverse/ B-Flow/ Reset/ MyPage

9 User Defined 18 Touch Panel

Hard keys

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Additional configurable capability

5 digital user defined keys

1: 5 physical user
defined keys

2: Freeze & P1
Exchangeable
3: Configurable smart keys
Imaging mode Function
3 3 1
Focal Zone Up/Down

1 Live B, B-Flow™ Frequency Up/Down

2 Steer
Box Steer
CF, TVI, B-Flow Color, PDI
Scale (PRF) Up/Down

Baseline Up/Down
PWD, CW, TVD
Scale (PRF) Up/Down
M/D cursor Sample volume size
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My Page

Configurable on each My Page

• GE innovative personalization feature
• Preset depended (Abd/Carotid/…has My Page)
• Each use case (preset) has My Page

Abd Carotid

OB Breast

Measurements Body patterns

Comments Functions

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1 Institution/ Hospital Name, Date, 10 Scan Indicator 15d Image display area 17 Trackball functionality status
Time, Operator identification

Imaging Parameters by Number of images in exam and

2 Patient Name/ Patient 11 15e Worksheet 18 thumbnail size
identification Mode

3 Power Output readout 12 Focal zone indicator 15f Active images screen

4 Probe orientation 13 Depth scale 15g Compare Assistant

mark

Current date and time, Caps Lock,

Worksheet/ Direct network connection indicator, DVR/
5 Report 14 15h Save As
USB status, System message display,
Insite controls, battery status

6 Image 15 Image Management icons 15i Delete Last image

7 Image Preview 15a Utility Menu 15j LOGIQ Apps Connection

Image Clipboard- Previous image, next image. Hold

8 Side/ Bottom 15b Report writer 15k CTRL and arrow to start slide show

Probe Identifier.
9 Exam model 15c MyTrainer 16 Cine gauge

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Connecting a Probe Selecting Probe and Model/Preset Trackball Keys (15, 16)
1. Hold the probe vertical with cable pointing 1. Push the desired probe icon (25) to change Trackball key functions change depending on
upward from one probe to another at any time. which mode is activated. The trackball icon on
2. Check locking connector handle is to the 2. Select type of exam you would like to the lower right (or left depending on image
left. Connect probe and slide locking perform. For ex. Abd, Renal, etc. size) of the monitor displays functions as
connector handle to right. Image of probe modes change. Use this icon for guidance on
will appear on TP after connected. functionality.
Activating Modes
Modality Worklist 1. B-Mode (4) is always active. To adjust the
1. Select Patient icon on Touch Panel. (19) overall B-Mode brightness turn the B-mode
2. Select Data Transfer then select Worklist button. Push down on B-Mode button to exit
from the Task column. all modes.
3. Select Query to refresh the worklist 2. To activate other modes make sure that the
(unless Worklist Auto Query has been toggle line is active (green) (17) highlighting
selected under Miscellaneous) modes. Push the appropriate button to
4. Highlight the desired patient from the activate the mode (5). Adjust the gain by
names in the top window using the rotating the same button. Change available
pointer and double click set (Right modes for each preset in Utility> Application
trackball key) (15) to transfer on Touch panel, > Settings > User
5. Confirm you have the correct patient Configurable Mode Rotary To configure the smart keys (ex. Frq) press
selected, select scan category (ABD,OB, 3. When using a cardiac probe and model, Utility>System on Touch Panel, then select Use
Etc. ) from the tabs. Configurable Key to choose the User Defined
pushing the PDI/TVI button will activate TVI
6. Exit the patient entry page by pressing Trackball Smart Keys
4. To activate B-Flow, select the B-Flow (26)
Scan or select desired probe on the button on Touch panel. To adjust brightness Select CHI on touch panel to enter Harmonics
touch panel. for B-Flow, turn the B-Mode button. or switch to fundamental imaging

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Print Keys Programmable Measurements (Generic) 6. When timeline is displayed on the screen
1. Press “Measure” key (14), a caliper will appear on the select measure and select appropriate
screen waveform for velocity measurement.
1. Press P1 (3) to store images to hard
drive 2. Use the trackball to move the caliper to the
2. Other Print options can be assigned to appropriate location, press “Set” either the left or
the User defined hard keys (9) right trackball key (15), a second caliper will appear.
3. Mark Cine then P1 to store a cine clip.
This can be assigned to a User defined
hard key (9)

7. Pre-programmed measurements for each

mode can be found on the Touch panel
3. Place the second caliper in the appropriate location when the measure key is active. These can
and press the “Set” right or left trackball key. be programmed per type of exam by your
4. Measurement window appears on the the screen GE representative.
and will display the distance between the two
Note: Print destinations can be points. Move trackball to display additional set of
programmed by a GE
calipers. Additional measurements options available
representative upon install of
on upper trackball key.
the system.
5. To remove measurement, select clear (11) button
while the measure key is backlit green.

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Annotations
1. Using Keyboard to Annotate:
• To add text to an image, type on Digital A/N keyboard (22) or use the pullout
A/N keyboard. The text can be moved to another part of the image with the
trackball if green and active
• Push the right trackball key to set the comment. Color will change from
green to yellow/ white ( depending on user preference) after comment is
set.
• To Edit or move set text, select right trackball key. Text will turn green and
can be moved to desired location.

2. Using Touch panel to annotate

• Select Comment (10) button
• Touch panel will display annotations. Select comment as needed. To select the comment cursor “home” position move
• Annotations are laid out on Touch panel. Single comments will not replace the cursor to the desired position. Simultaneously
each other. If there is a beside a comment it means it is a small list. Each push Shift+F7 on the A/N Keyboard and the right or
press of this comment will replace the previous For ex. Select Right then left trackball key.
this changes to left on the touch panel. Select left and it will replace right.
These will replace each other since they are the same small list. The small
list comment does not have to be green to be overwritten Note: At anytime to remove entire text,
• To customize comments go to Utility, Comments on Touch Panel. Under measurements and arrows, hold down the clear
Libraries, select the desired Library to edit comments. Up to 4 columns and button (16). Word delete (F10) located on keyboard
4 rows of comments are available. Small list will replace up to 3 words can be used to remove the last text.

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Biopsy Guide
Split screen/Dual View 1. Under B-Mode tab on the second page of
1. Press “L” on the Dual screen keys (8) to the Touch panel, select biopsy kit. The
display the image on the left side of the system will display the corresponding type
screen. of bracket and appropriate number of the
2. Press the “R” on the dual screen keys to guides for the active probe
display the image on the right side of the
screen.
3. To toggle between two images, press “L” or
“R” dual screen keys, or use trackball and
set in the desired image.
4. Press the “L” and “R” simultaneously to
display the same image as live
simultaneous side by side images.
5. When using Color mode, simultaneous side
by side will display color ROI on one side
and B-Mode on the other.
6. Press and hold “L” or “R” down to activate
a quad screen. Use the “L” to toggle
between the upper and lower images on Note:
the left. Use the “R” to toggle between the 2. Select desired guide. Biopsy lines will show The E8C-RS, E8CS-RS, IC9-RS and BE9CS-
upper and lower images on the right. RS have two biopsy guides available, the
up on the screen. The guide name will disposable and a reusable guides. The
7. To return to single image, push down on display on the bottom of the monitor. Be reusable guide bracket is made of stainless
the B-Mode (4) button. sure to match the number chosen on the steel. The disposable guide is white plastic.
screen with the number on the guide. Please refer to the instructions found in
3. To turn the biopsy guide off, select the the biopsy guide kit for cleaning and
handling the guides.
“none” from the drop down list.
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B-Mode Optimization
Most commonly used Description
parameters
Digital TGC (23) Use finger to swipe in direction of desired TGC curve. For finer adjustments use Near TGC/Far TGC / Overall control knob below Digital
TGC. You can store the TGC curve by holding down one of the Top 3 TGC curves on the right of the touch panel. The bottom one always
remains straight and can’t be overwritten
Auto Tissue Optimization Optimizes contrast resolution by changing the gray scale to match the image data. Continuously updates whilst scanning
(7)

CHI Harmonics Utilizes Coded Harmonic Imaging to receive and display harmonic (double) frequencies. Coded Harmonics increases contrast and
reduces low frequency high amplitude noise. Multiple frequencies area available to help increase penetration.

Frequency Range is dependent on probe and model. Use higher frequency for smaller patients, lower frequency for larger patients. Use lower
frequency for deeper structures, higher frequency for more superficial structures improving detail resolution.

Dynamic Range Controls how echo intensities are converted to shades of gray, increasing the adjustable range of contrast. Increase dynamic range for
more shades of gray, decrease for more contrast.

Gray Maps Varies the appearance of the shades of gray from black to white. Choose the gray map prior to making other parameter changes. There is
interdependency between the gray maps, gain and dynamic range. A and B are softer Maps, increasing in contrast as you move down the
list
CrossXBeam™ CrossXBeam, or compound imaging, combines three or more frames from different steering angles into a single frame. May help reduce
CrossXBeam # speckle and noise in the image. Enhances tissue interfaces and border detection.
CrossXBeam # allows the user to adjust the number of steering angles. Low fastest frame rate, 3 steering angles, Medium fast frame
CrossXBeam Type
rate, 5 steering angles, High slower frame rate, 7 steering angles, Max slowest frame rate, 9 steering angles
CrossXBeam Type: Mean averages all returning values (normal scanning mode), Hybrid combines a mix of both average and maximum
values (center line + Max), Max displays only the maximum returning values (Max only).
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B-Mode Optimization (continued)
Most commonly used Description
parameters
Speckle Reduction (SRI) An adaptive algorithm to help reduce the unwanted effects of speckle in the image. Image speckle usually appears as a grainy texture in otherwise
uniform areas of tissue. Each model has specific SRI settings. SRI may be used on any probe or in any clinical application. This can be changed as post
processing

Rejection Selects a level below which echoes caused by noise will not be amplified. The higher the rejection the more low-level echoes are eliminated. Useful in
Vascular imaging
Virtual Convex Changes linear probe images from rectangular shape to convex shape and adds 20% more viewing area. Note: When in Color Mode you can select “Virtual
Convex” on Touch panel to display the color in a wider field of view.

Frame Average A temporal filter that averages image frames together, using more pixels to make up one image. Presents a smoother, softer image the higher the value

Line Density Helps to optimize line density or resolution. Decrease line density for faster frame rates. Increase line density for better resolution

Edge Enhance Brings out subtle tissue differences and boundaries by enhancing gray scale differences corresponding to edges of structures. Useful for cleaning out B-
mode image (M-Mode timeline) to enhance vessel wall or organs.

Suppression Suppresses the overall noise in the image. Usually set to 0 or 1.

PRF In Cardiac only, frame rate decreases and noise artifacts are filtered

B-Mode Raw Data On a frozen or recalled image you can adjust the following parameters;
(post processing) Gain, TGC, Auto Optimize, Dynamic Range, Gray Maps, SRI, Rejection, Zoom, Image reverse, Image rotation, as well as Comments, Body Patterns and
Measurements.

To display ALL touch panel parameters select

quick button on top right corner
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B-Mode Optimization (continued)

IF THEN IF THEN
Image is too soft 1. Decrease SRI-HD Image is not uniform 1. Adjust Digital TGC
2. Activate Auto Optimize 2. Change Frequency
3. Decrease Frame Average 3. Adjust Focal Zones and focal width
4. Change Gray Map

Image is too grainy 1. Increase SRI-HD Image whites are too bright 1. Decrease overall gain
2. Increase Frame Average 2. Decrease SRI-HD
3. Decrease Line Density 3. Adjust gray map
4. Change Gray Map 4. Increase Dynamic Range

Image is too dark 1. Increase overall gain Technically difficult patient 1. Select appropriate Model, if
2. Adjust Digital TGC abdominal exam select ABD2
3. Decrease frequency 2. Lower frequency
4. Change Gray Map 3. Turn off Harmonics (CHI)
Image is too noisy 1. Decrease overall gain Frame rates are too slow 1. Decrease Line Density
2. Adjust Digital TGC 2. Change CrossXBeam #
3. Activate Harmonics (CHI) 3. Decrease Sector Width
4. Activate ATO 4. Use shallower depth

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Color Doppler Optimization
Most commonly used Description
parameters
Velocity Scale (PRF) Range of velocities that are assigned a color. Adjust the pulse repetition frequency (PRF) for an enhanced
representation of the magnitude of the flow pattern. Increase for higher flow velocity, decrease for lower
flow velocity.
Angle Steer Provides a Doppler angle suitable for linear probe orientation. You can steer the ROI of the Color Flow linear
image left or right to get more information without moving the probe.

Frequency Changes the color parameters to enhance flow in different depths. Use lower color frequency for deeper
vessels. Increase color frequency for superficial vessels. Range is dependent on probe and model .

Wall Filter Filters out low velocity signals and affects low flow sensitivity versus motion artifact. Assists in reducing
motion artifacts from motion outside the vessel wall.
Focus Position Adjust focal zone within the color ROI for the best vessel filling, position focal zone in the middle or lower
half of the ROI.
Frame Average Temporal smoothing filter helps to create a smooth and persistent flow profile.

Line Density Helps optimize color flow frame rate for sensitivity and spatial resolution. Higher line density will reduce
color on vessel walls. Lower line density will increase frame rate.
Color Threshold Percentage of gray scale level where color Doppler is overwritten. Decrease where vessels are large and
easily identified, Increase where multiple small vessels need to be visualized.
Flash Suppression Algorithm to help control motion artifacts.
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Color Doppler Optimization (continued)
The table below discusses adjustments that can be made to help in some scanning situations.
Not all listed adjustments may be necessary to achieve the desired result.
IF THEN

Color does not fill the vessel Increase color gain until color noise is seen in the surrounding tissue, then decrease the
gain just until the color fills the vessel. If color does not fill the vessel decrease velocity
scale (PRF), increase threshold, decrease Wall Filter. Decrease Color frequency for
penetration when needed.
Color displays mixed directions Forward flow and reverse flow should be separated by a black transitional line. If there is no
line between red and blue, increase the Velocity Scale (PRF) to reduce the aliasing

Color is seen in right and/or left side of vessel, The color ROI box is perpendicular to vessel flow. If using a linear probe, change the ROI box
but the middle is blank angle using the touch panel knob selection “Angle Steer”. Note: if vessel is angled in the
image, try a straight ROI box. Heel/ Toe the probe for better angle

Color is outside the vessel wall Decrease color gain until color is within the vessel walls. Increase velocity scale (PRF) just
until color is within vessel walls. Increase Wall Filter. Decrease color threshold.

Color is in superficial vessels, but not in Decrease color frequency, increase color gain until flashes are seen in the surrounding
deeper vessels tissue, then decrease gain just until color fills the deep vessels.

Frame rate is too slow Decrease Color ROI box size, slightly taller then wider preferable. Decrease color Line
Density.
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Image Management
Print keys are programmed upon install by your GE representative to send to printers, PACS or Network storage devices and the
system Internal Hard Drive.
When you want to print/store an image, the P1 is most 1. Push P1 to print/store an image. The images will be visible in a thumbnail view at
commonly used for the primary destination and the bottom or left side of the image screen.
internal hard drive: 2. To store a Cine loop, push P1 during live scanning (do not push freeze first) or
select Mark Cine (user defined hard key) to initiate cine then P1 to end. The Cine
loop stored will be a pre-determined length of time specified during system set-
up in utility.
3. When the exam is complete, select “Patient” on the left column of the touch
panel. Select “New Patient” on touch panel screen or monitor. A list of patients
and their exams currently stored on the system appears on the screen in the
patient entry page. This is the easiest way to “End Exam”

To send to a PACS or Printer that is not the “Default” 1. From the Patient entry page, highlight the patient name and set to open the
destination: studies. If there is more than one exam, highlight the exams needed.
2. Select “Send To” from the bottom right corner of the page.
3. Select the destination form the “To” drop down menu and then select OK.

Once an exam has been closed, if there is a need to 1. From the patient entry page, select the patient from the list on the bottom of
add additional images to the exam, these steps will the screen and double click the set key
reopen a closed exam: 2. Highlight the exam you want to reopen. Push the “Freeze” button
3. The prior images will be visible in the thumbnail views, add images and repeat
the “End Exam” process by using the “Patient” button on touch panel

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Image Management (continued)
The system hard drive capacity and free space is available on the patient entry page. Move the trackball pointer over the pie icon in
the lower left column. A message with the total capacity and the available free space will appear briefly. The color of the pie will
change as the hard drive fills.
To review a closed exam from the internal hard drive: 1. From the patient entry page, double click the patient name from the list on the
bottom of the screen.
2. Highlight the desired exam from the list, or if just one its already highlighted.
3. Push the “Freeze” key. The images will appear in the thumbnail display at the
bottom or left side of screen.
4. Select any image from the side or bottom thumbnails to bring into full screen view
and use the to scroll through images.
5. Select the “Active Images” icon from the right of the monitor to view the exam in a
multi-image format.
To start a patient who has a previous exam on the hard 1. From the patient entry page, begin typing in the patient ID.
drive: 2. Once the ID has been entered the text will turn red, indicating there is a patient
with this ID.
3. Highlight the patient ID from the list at the bottom of the page and select New
Exam from the options on the touch panel.
4. Press “Freeze” to begin the exam.
To delete patients from the internal hard drive: 1. In the patient entry page, select the operator drop down menu, choose ADM. Not
everyone will have ADM access
Note: Patients or exams do not automatically delete 2. In the list of patient names, highlight the patient name to be deleted. If multiple
from the internal hard drive. patients use the SHIFT or CTRL functions to highlight necessary patients
3. Select “Delete” in the menu at the bottom of the list. A message box will appear to
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Image Management (continued)
To save images to CD/DVD or USB drive in PC format (Jpeg):

1. Insert a CD –R or DVD – R into the CD/DVD burner, or insert a USB stick into
the USB port.
2. Highlight the patient from the list of names on the hard drive. Select “Active
Images” from the upper left corner of the screen.
3. Select the individual images you want to save or alternatively select “Select
All” from the touch panel.
4. Select “Save As” images from the touch panel or left side of screen.
5. A window box will appear. From the drop down “Save in Archive” menu select
either “For Transfer to CD/DVD” or USB.
6. Allocate a ‘Folder Name’ to the selected saved images.
7. From the drop down “Save As Type” menu, select JPEG AND WMV. This will
save still images as JPEG and Cine loops as WMV files.
8. Select “Save”. The image is saved to a temporary directory. If using a USB
drive, skip to step 10 to eject; there is no “finalize” procedure
9. Once all the desired images are saved/converted, select “Save As” images
again, the select Transfer to CD/DVD to transfer the images to the media.
10. Push the “F3” (Eject) button on the A/N keyboard. A new message box will
appear; if ejecting a CD/DVD the message will have a choice to “finalize”. The
disc must be finalized for the images to be opened on a computer.

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Preset Backup/ Restore
Note: It is recommended to do this with the assistance of a GE Service or GE Applications representative

To Back-up presets: Insert CD –R or DVD –R into the disk 1. Select Utility > System > from the touch panel.
drive or USB into the USB port 2. Use the trackball pointer to select “Backup/Restore” tab on the monitor.
3. Select check box “User Defined Configuration” under the Backup column on the
left.
4. Select CD/DVD or USB from the drop down menu under “Media”.
5. Select “Backup” to save presets to CD/DVD or USB
6. Press “F3” (Eject) to eject and finalize the CD/DVD or USB preset disk.
7. Label and Store the CD/DVD or USB in a secure location, in case a service call
results in the need to restore presets.
To Restore presets: Insert the “preset CD/DVD or USB” 1. Select Utility > System from the touch panel.
into the disk drive or USB port 2. Use the trackball pointer to select “Backup/Restore” tab on the monitor.
3. Select CD/DVD or USB from the drop down menu under “Media”.
4. Select “User Defined Configuration” from the RESTORE field in the upper right
column, which restores ALL the imaging parameters including your
DICOM**/Connectivity settings. Note: If you have multiple systems ensure
your preset disk is specific to the system you are restoring to.
5. Alternatively, under “Detailed Restore of User Defined”, select the desired fields
you wish to restore on the system i.e. Imaging Presets.
6. Select “Restore”. The system will automatically shut down and re-boot to
restore the presets.

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Adding New User Initials

Select Utility>Admin>Users
• Select “Add” and enter user details
ENSURE that you DO NOT include the following characters in a user’s ID: slash (/),
dash (-), asterisk (*), question mark (?), an underscore (_), ampersand (&), lower case
letters or blank spaces. DO NOT set up users with the same initials or ID. The system
will overwrite the first user ID if a second is created with the same initials
• Display ID, type in the short form ID (typically initials) of the user for display on the title
bar when storing images. This is limited to 5 characters.
• Enter password using the defined policies.
Note: If a password is created the user will be required to enter the password when
logging on.
• The system administrator can specify whether the users account is Active, Blocked or
requires a password change. If needed, select the check box “user must change
password” The user will be prompted to change their password on the next logon. When the user selects their
• Select the Group Membership for the new user. Multiple groups can be selected if Id from the list in the
“operator” field in the patient
needed. The user will need Operator access rights to appear on the drop down list of
entry page, the logon
operators. window will pop up.

Note: The system Admin can remove a user from the list. Select the user Id from the list and
select “Remove”. The user and password will become inactive. If the user and password
need to be removed permanently, select the user and password and select “Remove.” A Enter Operator Id then the password and
pop-up dialog will appear to confirm the complete removal of the user account. select “Ok”
*Note: the user can change their
password at anytime
The user will have access according to
the rights in their assigned group.

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Portability Articulating Monitor

Arm

Rotating and Up/Down OPIO

Rear Handle
(opt.)

OPIO tray (opt.)

A/N Keyboard
(opt.)
Paper Tray
(opt.)

4 Active probe Side Tray- pair

ports

Brake on each
wheel. Left rear
Hold down button Up/Down wheel has
to move keyboard swivel lock also

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Cleaning the Trackball Cleaning Filters

1. Power off the

system

2. Pull the front cover

with hand and pull
out the front air
filter

1. Power off the system

2. Turn the retainer counter clockwise until it can be 3. Pull out the bottom
removed
air filter
3. Separate the trackball and the retainer. Wipe off
any oil or dust from the trackball, retainer and the
trackball housing using a cleaner or cotton swab
4. Assemble the trackball and retainer, then put it into
the housing and rotate it clockwise until its notches
are set in position 4. Dust the filter with a vacuum cleaner and/ or wash
it with mild soapy solution. If washed rinse and dry
the filter before re-installation
5. Put back the air filters and the front cover
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